Individual provider Active NPI

Kia Ousley, MD

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1871973453
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R0469 Issued in TX
Practice address
1910 Quaker Ave Ste 101
Lubbock, TX 79407
Phone
(806) 725-4440
Fax
(806) 725-4441
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10053886 TX
Family Medicine Physician 207Q00000X R0469 TX Primary

Addresses

Primary practice location

1910 Quaker Ave Ste 101
Lubbock, TX 79407

Mailing address

6210 E Hwy 290
Austin, TX 78723-1142
Phone (512) 406-9596

Other practice location 1

801 E Whitestone Blvd Ste C
Cedar Park, TX 78613-7558
Phone (512) 259-3467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170220000574 TX Practitioner - Family Practice 8527366996 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10053886TXMDFamily Medicine Physician
R0469TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Spine and Joint Hospital, LLC CurrentSince Jan 15, 2017 Accepting new patients

Locations

1814 Roseland Blvd
Ste 100
Tyler, TX 75701
Phone (214) 696-8033

1814 Roseland Blvd
Tyler, TX 75701
Phone (903) 525-3300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1871973453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 E HWY 290",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231142",
            "telephone_number": "512-406-9596",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 QUAKER AVE STE 101",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79407",
            "telephone_number": "806-725-4440",
            "fax_number": "806-725-4441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E Whitestone Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786137558",
            "country_code": "US",
            "telephone_number": "512-259-3467",
            "fax_number": "512-406-7303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUSLEY",
        "first_name": "KIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10053886",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R0469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.